institution
Charlene L. Haynes
Eyewear Supplier in San Antonio, Texas
NPI 1447544200

Charlene L. Haynes is a Eyewear Supplier based in San Antonio, TX. Charlene L. Haynes practices in San Antonio, TX. The NPI Number for Charlene L. Haynes is 1447544200 and holds a License No. 04268TG (Texas).

The current practice location address for Charlene L. Haynes is 16793 San Pedro Ave, San Antonio, TX and can be reached out via phone at 210-545-4772 and via fax at 210-545-5350.

Location: 16793 San Pedro Ave, San Antonio, TX, 78232-2349
institution
Provider Profile Details
NPI Number
1447544200
Provider Name
Charlene L. Haynes
Credential
Provider Entity Type
Organization
Address
16793 San Pedro Ave, San Antonio, TX, 78232-2349
Phone Number
210-545-4772
Fax Number
210-545-5350
Provider Enumeration Date
06/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1154466449 01 TX MEDICARE NPI
institution
Provider Business Practice Location Address Details
Address
16793 San Pedro Ave
City
State
Zip
78232-2349
Phone Number
210-545-4772
Fax Number
210-545-5350
person
Provider Business Mailing Address Details
Address
16793 San Pedro Ave
City
State
Zip
78232-2349
Phone Number
210-545-4772
Fax Number
210-545-5350
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
License No.
04268TG (Texas)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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